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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857 -�rnvw.everettwa.org <br /> ��611 �✓�i�' .e�iv� kl <br /> � ,� S� �v-��� �/�, �8zd l <br /> PROJECTADDRESS <br /> ��-e �1�I� s -- <br /> Own �dailAddress City StatelZip Phone <br /> (( / ( <br /> Tenanl �da�l Address Cily State/Zip Phone <br /> �� GGLLTC6.�r ��. �c.� S�G�l _ rt�. �i� �'BaS�O <br /> EleclriC ContraCtor NailAddress Cily State/Z�p Phone <br /> �f2S-z y9�x�7 <br /> `�(il �S � �UO�i,' 0 S—CJ 7 Z �1 <br /> Slate�Number(required) Cily of Everetl 6usinPss License Number(required) <br /> � � Sl�e� � �-� ����� �v -- -- <br /> Proposed Use of�uilding Contracl Price ef Wark. <br /> Square Foolage p(residential new conslruction, mmodel or addition) Contact Person'Conlacl NumberlEmail <br /> Number o(devices (If low vollage) ^ <br /> // / . � <br /> Description o(IA'ork to Bn Done: / �{' �C ���(/C ��D " � �Z "� l�G G� � <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 frereby certily fhaf I havc rcad and examined fh's application and kno�v Ihe same to be true and � 'S � <br /> correcL AI!provisim�s olla�vs and ordinances goveminy this fype ol�sork�vill be completed <br /> tvhefherspeci/ied hcrein ornoL Thc g�anting ol a pe�mi(does not presume(o give authonty(o PERh11T# <br /> violate orcancel�he provisions oI any othersfa(e or locallaw regulafing construc(ion or f�ie E l �� � - ( 3� <br /> pmlam�ance ol ccnshuc�ion. That I am authonzed by fhe owner ol lhis property(o pedonn lire <br /> �vork lor�vhich applica(ion is made and I comply�vi(h!he Sta(e Confraclo�s La�v 18.27 RCW and <br /> 296100 WAC. � <br /> / �/'�2 � � 1�- <br /> i naWre �ale <br /> F�iViSFOOSTCsOI: <br />